V-shaped Internal Nasal Vestibular Flap for Reconstruction of Iatrogenic Columellar Defect

V-shaped Internal Nasal Vestibular Flap for Reconstruction of Iatrogenic Columellar Defect Summary: Columella is an important structure in the center of the face, and its structural integrity has an important functional, social, and psychological role. Columella reconstruction can be very challenging for surgeons and the ideal technique remains elusive. This article describes a reconstruction technique in a young woman with columella necrosis due to nasal continuous positive airway pressure treatment. The method of reconstruction described here, with a V-shaped internal nasal vestibular flap and a cartilage grafts from lateral crura, is simple and easily reproducible, providing an optimal aesthetic result and in addition the donor site does not create a secondary deformity by disrupting normal anatomy. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Plastic & Reconstructive Surgery Global Open Wolters Kluwer Health

V-shaped Internal Nasal Vestibular Flap for Reconstruction of Iatrogenic Columellar Defect

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Publisher
Wolters Kluwer
Copyright
Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
eISSN
2169-7574
D.O.I.
10.1097/GOX.0000000000001604
Publisher site
See Article on Publisher Site

Abstract

Summary: Columella is an important structure in the center of the face, and its structural integrity has an important functional, social, and psychological role. Columella reconstruction can be very challenging for surgeons and the ideal technique remains elusive. This article describes a reconstruction technique in a young woman with columella necrosis due to nasal continuous positive airway pressure treatment. The method of reconstruction described here, with a V-shaped internal nasal vestibular flap and a cartilage grafts from lateral crura, is simple and easily reproducible, providing an optimal aesthetic result and in addition the donor site does not create a secondary deformity by disrupting normal anatomy.

Journal

Plastic & Reconstructive Surgery Global OpenWolters Kluwer Health

Published: Jan 1, 2018

References

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